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A lot of people wants to know how to cure fissure permanently. Before we get into the details on the methods that can be effective to cure anal fissure, we need to learn more about the condition and its causes. 

An anal fissure is a tear or cut in the anal canal which is the last part of the large intestine through which stool is expelled. This occurs during a bowel movement when you pass hard or large stools. Anal fissures cause pain, bleeding, or spasms in the ring of muscle at the end of your anus (anal sphincter). Once a fissure starts to form, you will feel a sharp and unbearable pain during bowel movements. 

An anal fissure is very common in infants and children but can affect people of any age. Generally, an anal fissure heals on its own within four to six weeks. If the fissure fails to heal during this period, it can become chronic and medical or surgical treatment will be needed to cure anal fissure. 

What are the causes of Anal Fissure? 

There are different reasons why a person may get anal fissure. Here are some common causes of an anal fissure:

  • Passing large or hard stools
  • Constipation and straining during bowel movements
  • Chronic diarrhea
  • Anal intercourse
  • Obesity
  • Inflammatory disorder
  • Childbirth

Additionally, there are some least common causes of the same are the following:

  • Anal cancer
  • Inflammatory bowel diseases such as Crohn’s disease and ulcerative colitis
  • Tuberculosis
  • Sarcoidosis
  • Syphilis 
  • HPV


An anal fissure can usually be diagnosed by physical examination where the doctor gently separates the buttocks for visual inspection of the region around the anus. 

A rectal examination is also performed for diagnosis where the doctor inserts a gloved finger into the anus. Anoscopy (insertion of a small instrument to view the anal canal) is also recommended sometimes if the doctor suspects that there is an underlying condition that caused anal fissure. 

In case of unclear diagnosis even after a physical examination, a sigmoidoscopy or colonoscopy is recommended, especially if rectal bleeding is noticed. These tests are usually performed to rule out the possibility of colorectal cancer. 

How to cure Anal Fissure permanently without surgery?

There are various home and natural remedies that you can try to get relief from symptoms of anal fissure. For many people, these methods are effective to cure anal fissure at home. 

Eat a Fiber-Rich Diet

Include plenty of high-fiber foods such as beans, split peas, lentils, chickpeas, bran cereal, pumpkin seeds, soyabeans, and whole grains in your diet. Eat prunes and raisins that help soften stools.

Drink lots of water

Drinking at least 8 glasses of water regularly is important to reduce the risk of dehydration. Some fluids such as alcoholic beverages, coffee, etc. can dehydrate the body and make the condition worse. 

Consume Fiber Supplements 

You can also consume fiber supplements. Fiber supplements are available commercially that include psyllium, methylcellulose, and many more. These supplements absorb water and improves the regularity of bowel habits while softening stools. Taking fiber supplements in excessive amount can also cause side-effects including bloating and gas. So, make sure that you consult a doctor before taking fiber supplements.  

Take a Sitz bath

Take a sitz bath to get some relief from the excruciating pain and discomfort caused due to fissure. Sitz Bath is recommended to improve the blood flow in the anal region to relieve pain. Soak the affected area in a tub of warm water 2-3 times a day especially after bowel movements. Pat the region gently using a soft cloth to dry.

Follow proper bathroom hygiene

People suffering from anal fissure should make sure that they follow the below-mentioned hygienic measures-

  • After every bowel movement, clean the anal area gently and dry it properly.
  • Every time you have the urge to pass stools, don’t ignore it. Controlling the urge results in constipation which makes the fissure worse.
  • Do not apply soap or take bubble baths as it can irritate the skin in the anal canal.
  • Avoid excessive straining or sitting on the toilet for too long as it puts extra pressure in the anal area. 

Medicines For Treating Anal Fissure

If the home remedies don’t work, the next line of treatment to cure anal fissure is using medications. Some medicines that will be effective to manage and control piles symptoms are: 

Topical nifedipine and topical nitroglycerin:

Topical nifedipine reduces the internal anal sphincter pressure. Nifedipine is usually prescribed to treat high blood pressure but is best used for fissure treatment when applied directly to the perianal skin. 

On the other hand, when nitroglycerin is applied, it increases blood circulation to the affected skin and relaxes the anal sphincter that eventually speeds up healing. Confirm the dosage of these medicines with the doctor before taking them. 

These are available as over-the-counter creams, ointments, and anal suppositories that you can buy to help relieve the discomfort caused due to fissure. 


Laxative such as fybogel encourages peristalsis and stimulates the gut to pass the stool. There are different types of laxatives available for use. So, make sure you talk to the doctor before taking them to decide which type of laxative is best for you. 

Also read: 5 Best Home Remedies To Treat Fissure

Tips to Cure Anal Fissure Naturally

There are several natural ingredients that can be helpful to treat acute anal fissure when the symptoms are mild. These remedies will provide you relief from pain in the anal region and manage the symptoms in the early stages. 

Aloe Vera:

Aloe Vera has an astringent property that helps to reduce the skin irritation caused due to anal fissure. You can inject the aloe vera gel in the anal region via a syringe or apply the gel directly to the affected area. Repeat it two or three times a day for best results. 

Olive Oil:

Olive oil is used to treat fissure as well as piles as it has anti-inflammatory and antioxidant properties which help to shrink the size of swollen blood vessels in the anal canal. Take one teaspoon of olive oil in your daily diet or apply the oil directly to the fissure. 


Comfrey is also one the home remedies for anal fissure as it has allantoin that increases the proliferation of healthy cells that heals anal fissure. Both leaves and roots have medicinal properties that regenerate the skin tissues and increase the growth of cells. Apply the paste of comfrey root powder and olive oil or flax seed to the anal area and you will get relief from the pain and discomfort. 

Coconut Oil:

The coconut oil softens the fissure area (cracks) as it has wound healing properties. Apply directly on to the fissure at least 2-3 times daily. (Also read: How coconut oil helps in treating constipation?)

Flax Seed:

Flaxseed has omega-3 fatty acids as well as fiber, so it is very helpful in treating constipation, a major reason which causes anal skin fissure. Also, it has laxative properties which decrease the need for straining during a bowel movement. Take a tablespoon of flaxseed powder with water before bedtime for a week and see if this remedy is helpful in treating fissure. 

Apple cider vinegar:

All you have to do is mix 1-2 tablespoons of raw, unfiltered apple cider vinegar and a tablespoon of honey in a glass of water and drink it twice daily. You can also create a bath by using apple cider vinegar. Just add two cups of vinegar in warm water and soak the anal region for 15-20 minutes. 

How to cure anal fissure permanently with ayurveda?

Ayurveda offers treatment for anal fissures without surgery. It recommends Kshar Karma for this problem. It is said to be an effective treatment with no complications. The Ayurvedic treatment for Anal Fissure doesn’t require hospitalization or prolonged bed rest. 

Repeated Kshar Karma sittings are given at weekly intervals. The patient is advised to use certain Ayurvedic medicines at home in between these weekly sittings. However, in some cases fissure remains in a dormant state and reappear if the person gets constipated. 

When to call the doctor for anal fissure?

The home remedies that we discussed above are not effective for later stages of anal fissure. Moreover, these remedies are not a permanent cure for anal fissure, instead work as temporary reliever. If you have already tried these remedies for a week and the symptoms are not improving, you should call a doctor and seek professional help. If the following symptoms are present, you are most likely to need surgical treatment:

  • Severe pain during bowel movements
  • Bright red blood in the stools
  • Skin tags or lumps around the anus
  • Visible crack in the anal lining
  • Redness around the anus
  • Itching and irritation

How to cure fissure permanently with surgery?

If you think you have tried all available treatments for anal fissure and the pain still lingers then contact an expert for the right treatment. At chronic stage, the only permanent treatment solution for fissure is undergoing surgery.

Laser surgery for fissure is exactly what you need! It is a new paradigm in Proctology, where laser beam is used to remove a small part of the anal sphincter, if needed and improve the blood flow in the anal region that aids in faster healing of fissure. Due to the advantages laser technique offers, it is considered as the most-effective way to cure fissure permanently. 

The advantages of laser treatment for anal fissure

  • It is non-invasive
  • Instant relief from pain and discomfort
  • The procedure takes only 30-45 minutes
  • The patient can resume normal activities within the next two days
  • Minimum post-surgery pain
  • Negligible recurrence rate 

With laser treatment, you can undergo a non-invasive surgery which causes minimal pain, to cure anal fissure. Get the best laser treatment for anal fissure by contacting Pristyn Care piles specialists and consulting them. Our doctors will recommend the most suitable treatment method to cure anal fissure permanently.  

Pristyn Care Provides Best Fissure Treatment in:


Can fissure be cured completely without surgery?

The research paper with the title, "Nonsurgical treatment of chronic anal fissure: nitroglycerin and dilatation versus nifedipine and botulinum toxin" concluded that chronic anal fissure can be treated effectively with Topical nifedipine and botulinum toxin injections. Although the paper concluded this, a fissure can relapse if proper precautions are not followed. 

What happens if fissure treatment is delayed?

When fissure treatment is delayed or not treated at all, it leads to constipation and fecal impaction. Patients with anal fissures are unable to defecate properly due to the piercing pain which discourages them to pass stool. Hence, it complicates and leads to the development of chronic fissure and sentinel piles. 

Is fissure surgery painful?

No. Fissure surgery is generally not very painful as it is performed under the influence of anesthesia. Moreover, if you are undergoing laser surgery for fissure, it causes minimal pain as there are little to no incisions involved. 

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